NJCS Chanteurs: A Company of voices dedicated to serving the community.

Posted on December 18, 2017 by jwatrel

NJCS Chanteurs: A company of voices dedicated to serving the community

Jill Guartafierro, Director

Caroline Parody, Accompanist

Chanteurs:

NJCS is an ensemble of 16-24 members of the New Jersey Choral Society who provide musical entertainment in the  community. The goal of the Chanteurs is to bring music and joy to those who enjoy choral music but may be unable to attend NJCS concerts.

The group is available to entertain at community or non-profit events, senior centers, museum’s, hospitals, meetings and parties.

Different sized groups are possible depending upon your needs and the availability of singers. With repertoire consisting of Pops and Holiday music, the Chanteurs can be booked for a variety of events for all age levels.

Sample repertoire:

Pops-

Over the Rainbow

Ain’t Misbehavin’

Phantom of the Opera

You Made Me Love You

Lullaby of Broadway

Chicago

Do You Hear the People Sing?

Wicked

Holiday-

Candle in the Window

White Christmas

Peace, Peace

Carol of the Bells

Jingle Bells through the Ages

We Are Lights

Past performance venues include:

Bergen Academies

Giggles Theatre at St. Joseph’s Hospital

Valley Hospital

West Caldwell Library

Hawthorne Library

Franklin Lakes Library

Mahwah Library

NJCS

To book the Chanteurs for an appearance or for more information, contact the New Jersey Choral Society:

Phone: (201) 379-7719

Email: music@njcs.org

or visit our website http://www.njcs.org and click on “Community Outreach” on the home page.

The mission of the New Jersey Choral Society is to serve the Community, the Membership and the Art with passion, imagination and a commitment to excellence.

The New Jersey Choral Society

P.O. Box 367

Ridgewood, NJ  07451-0367

(201) 379-7719

Disclaimer: This information was taken directly from the NJCS pamphlet. I have never seen the group perform so I have no opinion either yes or no to their performance. Please call or email the above numbers for more information.

 

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Emergency Planning for Pet Owners-Help your animal stay alive!

Posted on December 12, 2017 by jwatrel

Emergency Planning for Pet Owners-Help your animal stay alive!

Your pet counts on You!

Your pet is a part of your family. He or she will have special needs if an emergency happens. That’s why its important to include your pets in your emergency plan.

Prepare for the unexpected. For example, a disaster may strike when you are away from home. If you are unable to get to your pet, you will need someone else to step in for you.

Be ready to evacuate. You may only have a moment’s notice to leave your home. That’s why it’s important to :

*Have essential supplies ready to ‘grab & go’

*Know where to temporary housing for you and your pet.

Also, your pet’s behavior may change under stress. Practice emergency procedures. For example, familiarize your pet with how you will transport him or her if you need to evacuate.

Make sure your pet can be identified. Your pet should always wear on ID tag and/or be micro-chipped. If you are separated from your pet during an emergency, proper ID can help improve the chances you will be reunited. A little planning now ca nsave the life of your pet.

In case of evacuation, take care of your pet.

Never leave your pet behind in an emergency.  He or she may become lost, injured or worse. The key to evacuating together is to arrange housing in advance. Consider:

Friends and relatives: Ask a friend or relative outside your local area if he or she can shelter:

*You and your pet

*Your pet without you, if necessary.

If you have more than 1 pet, you may need to find separate housing.

Hotels and motels: Contact hotels and motels outside your local area. Find out if they:

*Allow pets and if so, whether they have any restrictions (such as size or species).

*Have a special animal policy during emergencies.

During an evacuation:

*Leave early. If you wait, you may be told that you can not take your pet.

*Make reservations at a hotel/motel as soon as possible, if application.

*Label your pet with your temporary shelter or housing information.

Emergency shelters: Ask your local emergency management office or animal control for a list of emergency shelters that allow pets. Keep in mind that many shelters do not allow animals (other than service animals) for safety and health reasons.

Veterinary offices, animal shelters and boarding facilities: Consider these options as a last resort, since they will probably be full or closed during an emergency.

Create a pet emergency supply kit: use this checklist to help you gather everything you may need for your pet:

Basic Supplies: Include:

*At least a 3 day supply of food and water.

*An extra supply of regular medications with dosage instructions (and any needed medical supplies).

*A flashlight with extra batteries.

*Food and water bowls (or water bottles for smaller pets).

*A can opener and spoon for canned food, if necessary.

*A cage or carrier for smaller animals.

*An extra collar, leash or harness for larger animals.

*A litter box, litter and a scoop (for cats).

*Plastic trash bags, paper towels, soap and bleach (for waste).

Other Supplies: You may also want to include:

*Comfort items (such as bedding, toys or pet treats).

*Disposable gloves (for handling waste)

*A hot water bottle or other heating source in cold weather (for birds or reptiles).

*A spray bottle for misting in hot weather.

*Cage liner and perch (for birds).

*A blanket or sheet to cover cages.

*Exercise equipment (for small animals such as hamsters or ferrets)

*A soaking bowl (for reptiles)

*Store emergency supplies in portable containers in case you need to evacuate.

Important information and records include:

*Feeding schedule and dietary instructions, including any food your pet should not eat.

*A recent photo of you with your pet (in case you become separated).

*A description of your pet (include species, breed, size, age, gender, coloring, special markings etc.)

*A copy of your pet’s medical records, including vaccination, dates.

*A copy of adoption or purchase records.

*An emergency release form for your pet’s backup caregiver.

*Contact information for you, your pet’s veterinarian and a friend or relative that lives out of town.

*A list of places where your pet can stay in an emergency.

*Microchip information, if applicable.

Tips for maintaining your kit:

*Rotate food and water regularly (About every 2 months) to keep supplies fresh. Replace medication that is past its expiration date.

*Keep food, medication and papers in airtight, water proof containers.

*Store the kit in a cool dry place.

A first-aid kit:

Ask your pet’s veterinarian about what to include. He or she may recommend:

*An animal first-aid book

*Saline solution

*Hydrogen peroxide

*Antiseptic wipes

*Cotton Swabs

*Antibiotic cream

*Cotton bandage rolls, bandage tape and scissors

*Flea and tick medication

*Disposable gloves

If an emergency happens when you’re away from home, know who to call to help your pet.

Find a backup caregiver: for example, ask a neighbor or a nearby friend or relative. Make sure he or she :

*Can easily get to your home.

*Is comfortable and familiar with your pet.

*Is dependable

Keep your backup caregiver informed: for example, he or she should know:

*Where to find your pet.

*Where to fin the emergency supply kit

*Where to meet you with your pet if evacuation is necessary.

*Contact information for you and your pet’s veterinarian.

*Any medical or behavioral problems your pet may have.

Give your backup caregiver a plan in writing. He or she should also have keys to your home.

Prepare any necessary release forms. Ask your pet’s veterinarian about forms that would allow your backup caregiver to authorize medical treatment in an emergency. Also ask about forms that would allow you to set spending limits for treatment. Make sure your backup caregiver has experience caring for pets.

“What else can I do to help keep my pet safe in an emergency?”

You can:

Get your pet microchipped.

Ask your pets veterinarian about implanting this grain-size computer chip under your pet’s ski. It’s not just for cats and dogs. Rabbits, birds, reptiles and many other pets can be microchipped. Most animal clinics and shelter have scanners that can read the microchip for a special number. If your pet gets lost and turned in to one of these facilities, the number can be used to find you in an animal database.

Keep your pet’s ID current:

Your pet’s ID should include his or her name and the current contact information for you and an out of town friend or relative. Consider putting this information on your pet’s:

*Collar tags

*Leg or neckband

*Cage/carrier (using permanent ink)

Get more information:

To learn more about emergency planning for your pet, contact:

*Your pet’s veterinarian

*Your local humane society

*The American Society for the Prevention of Cruelty to Animals (www.aspca.org)

*The Humane Society of the United States-www.humanesociety.org

*The American Veterinary Medical Association-www.avma.org/disaster

Be your pet’s hero-include him or her in your emergency plans!

Disclaimer: this information was taken directly from the Channing Bete Company pamphlet. Please call the above numbers and emails for more information on protecting your pet.

 

 

 

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Alzheimer’s Disease Medications: Fact Sheet

Posted on December 11, 2017 by jwatrel

Alzheimer’s Disease Medications: Fact Sheet

Several prescription drugs are currently approved by the U.S. Food and Drug Administration (FDA) to treat people who have been diagnosed with Alzheimer’s disease. Treating the symptoms of Alzheimer’s can provide patients with comfort, dignity and independence for a longer period of time and can encourage and assist their caregivers as well. It is important to understand that none of these medications stops the disease itself.

Treatment for mild to Moderate Alzheimer’s:

Medications called cholinesterase inhibitors are prescribed for mild to moderate Alzheimer’s disease. These drugs may help delay or prevent symptoms from becoming worse for a limited time and may help control some behavioral symptoms. The medication include Razadyne (galantamine), Exelon (rivastigmine), and Aricept (donepezil).

Scientists do not yet fully understand how cholinesterase inhibitors work to treat Alzheimer’s disease but research indicates that they prevent the breakdown of acetylcholine, a brain chemical believed to be important for memory and thinking. As Alzheimer’s progresses, the brain produces less and less acetylcholine; therefore, cholinesterase inhibitors may eventually lose their effect.

No published study directly compares these drugs. Because they work in a similar way, switching from one of these drugs to another probably will not produce significantly different results. However, an Alzheimer’s patient may respond better to one drug than another.

Treatment for Moderate to Severe Alzheimer’s:

A medication known as Namenda (memantine), a N-methyl D-aspartate (NMDA) antagonist, is prescribed to treat moderate to severe Alzheimer’s disease. This drug’s main effect is to delay progression of some of the symptoms of moderate to severe Alzheimer’s. It may allow patients to maintain certain daily functions a little longer than they would without the medication. For example, Namenda may help a patient in the later stages of the disease maintain his or her ability to use the bathroom independently for several more months, a benefit for both patients and caregivers.

The FDA has also approved Aricept and Namzaric, a combination of Namenda and donepezil, for the treatment of moderate to severe Alzheimer’s disease.

Namenda is believed to work by regulating glutamate, an important brain chemical. When produced in excessive amounts, glutamate may lead to brain cell death. Because NMDA antagonists work very differently from cholinesterase inhibitors, the two types of drugs can be prescribed in combination.

Dosage and Side Effects:

Doctors usually start patients at low drug doses and gradually increase the dosage based on how well a patient tolerates the drug. There is some evidence that certain patients may benefit from higher doses of the cholinesterase inhibitors. However, the higher the dose, the more likely are side effects. The recommendation effective dosages of drugs prescribed to treat the symptoms of Alzheimer’s and the drugs’ possible side effects are summarized in the table.

Patients should be monitored when a drug is started. Report any unusual symptoms to the prescribing doctor right away. It is important to follow the doctor’s instructions when taking any medication, including vitamins and herbal supplements. Also, let the doctor know before adding or changing any medications.

Testing New Alzheimer’s Drugs: Clinical trials are the best way to find out if promising new treatments are safe and effective in humans. Volunteers are needed for many Alzheimer’s trials conducted around the United States. To learn more, talk with your doctor or visit the ADEAR Center’s listing of clinical trials at http://www.nia.nih.gov/alzheimers/clinical-trials. More information is available  at http://www.nia.nih.gov/alzheimers/volunteer.

For more information:

To learn about support groups, research centers, research studies and publications about Alzheimer’s disease, contact the following resources:

Alzheimer’s Disease Education and Referral (ADEAR) Center

1-800-438-4380 (toll free)

adear@nia.nih.gov

http://www.nia.nih.gov/alzheimers

The National Institute on Aging’s ADEAR Center offers information and publications for families, caregivers and professionals on diagnosis, treatment, patient care, caregiver needs, long term care, education, training and research related to Alzheimer’s disease. Staff members answer telephone, email and written requests and make referrals to local and national resources. Visit the ADEAR website to learn more about Alzheimer’s and other dementias, find clinical trails and sign up for email alerts.

Alzheimer’s Association

1-800-272-3900 (toll-free)

1-866-403-3073 (TTY/toll-free)

info@alz.org

http://www.alz.org

Alzheimer’s Foundation of America

1-866-232-8484 (toll free)

info@alzfdn.org

http://www.alzfdn.org

Medications to treat Alzheimer’s Disease:

This brief summary does not include all information important for patient use and should not be used as a substitute for professional medical advice. Consult the prescribing doctor and read the package insert before using these or any other medications or supplements.

Drug Name: Aricept (donepezil)

Drug Type and Use: Cholinesterase inhibitor prescribed to treat symptoms of mild, moderate and severe Alzheimer’s.

How it works: Prevents the breakdown of acetylcholine in the brain.

Common Side Effects: Nausea, vomiting, diarrhea, muscle cramps, fatigue and weight loss.

Manufacture’s Recommended Dosage:

*Tablet: Initial dose of 5 mg once a day

*May increase dose to 10mg/day after 4-6 weeks if well tolerated, then to 23 mg/day after at least 3 months.

*Orally disintegrating tablet: Some dosage as above.

*23mg dose available as brand name tablet only.

For More information: For current information about this drugs’s safety and use , visit http://www.aricept.com/prescribing-and-patient-info.

Drug Name: Exelon (rivastigmine)

Drug Type and Use: Chonlinesterase inhibitor prescribed to treat symptoms of mild to moderate Alzheimer’s (patch is also for severe Alzheimer’s).

How it works: Prevents the breakdown of acetylcholine (a brain chemical similar to acetylcholine) in the brain.

Common Side Effects: Nausea, vomiting, diarrhea, weight loss, indigestion and muscle weakness.

Manufacturer’s Recommendation Dosage:

*Capsule: Initial dose of 3mg/day (1.5 mg twice a day)

*May increase dose to 6mg/day (3mg twice a day), 9mg (4.5 mg twice a day) and 12mg (6mg twice a day) at minimum 2 week intervals if well tolerated.

*Patch: Initial dose of 4.6 mg once a day; may increase dose to 9.5 mg once a day and 13.3 mg once a day at minimum 4 week intervals if well tolerated.

For More Information: For current information about this drug’s safety and use, visit http://www.fda.gov/Drugs. Click on “Drugs@FDA”, search for Exelon and click on drug name links to see “Label Information”.

Drug Name: Namenda (memantine)

Drug Type & Use: N-methyl D-aspartate (NMDA) antagonist prescribed to treat symptoms of moderate to severe Alzheimer’s.

How it Works: Blocks the toxic effects associated with excess glutamate and regulates glutamate activation.

Common Side Effects: Dizziness, headache, diarrhea, constipation and confusion.

Manufacturer’s Recommended Dosage:

*Tablet: Initial dose of 5 mg once a day.

*May increase dose to 10 mg/day (5mg twice a day), 15 mg/day (5mg and 10mg as separate doses) and 20 mg/day (10mg twice a day) at minimum 1 week intervals if well tolerated.

*Oral solution: Same dosage as above.

*Extended-release capsule: Initial dose of 7mg once a day; may increase dose to 14mg/day, 21mg/day and 28 mg/day at minimum 1 week interval if well tolerated.

For more information: For current information about this drug’s safety and use, visit http://www.namendaxr.com. Click on “Full Prescribing Information” to see the drug label.

Drug Name: Namazaric (memantine extended-release and donepezil)

Drug Type and Use: NMDA antagonist and cholinesterase inhibitor prescribed to treat symptoms of moderate to severe Alzheimer’s.

How it works:  Blocks the toxic effects associated with excess glutamate and prevents the breakdown of acetylcholine in the brain.

Common Side Effects: Headache, nausea, vomiting, diarrhea and dizziness.

Manufacturer’s Recommended Dosage:

*Capsule: 28mg memantine extended release+10mg donepezil once a day.

*14mg memantine extended release+10mg donepezil once a day (for patients with severe renal impairment).

For more information: For current information about this drug’s safety and use, visit http://www.namzaric.com. Click on “Full Prescribing Information” to see the drug label.

Drug Name: Razadyne (galantamine)

Drug Type and Use: Cloninesterase inhibitor prescribed to treat symptoms of mild to moderate Alzheimer’s.

How it works: Prevents the breakdown of acetycholine and stimulates nicotinic receptors to release more acetylcholine and stimulates nicotinic receptors to release more acetylcholine in the brain.

Common Side Effects: Nausea, vomiting, diarrhea, decreased appetite, dizziness headache.

Manufacturer’s Recommended Dosage:

*Tablet: Initial dose of 8mg/day (4mg twice a day)

*May increase dose to 16mg/day (8mg twice a day) and 24mg/day (12mg twice a day) at minimum 4 week intervals if well tolerated.

*Extended release capsule: Same dosage as above but taken once a day.

For more information: For current information about this drug’s safety and use, visit http://www.janssendmd.com/pdf.razadyne/PI-Razadyne-RazadyneER.pdf to see the drug label.

*Available as a generic drug.

Disclaimer: this information was taken from the National Institute on Aging: Alzheimer’s Disease Education and Referral Center pamphlet. This information it totally subjected and offered as information only. Please check with your doctor for further information. Contact the above numbers and emails for more information.

 

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Is it Normal Forgetfullness….Or is it Dementia? Act Now Foundation

Posted on December 7, 2017 by jwatrel

Is it Normal Forgetfulness…Or is it Dementia? Act Now Foundation

Do you know someone who lives with dementia?

If so, it’s likely at some point their cognitive health has made you concerned for your own. You forget an old friend’s birthday….you can’t find your car keys again. You forget the very item you went to the grocery store to buy. Do you wonder if there is something seriously wrong with you? When is forgetting part of the normal course of life? When does forgetting become a reason to worry? How can we tell the difference?

Here are seven ways to look at normal, age related memory changes versus signs of Impaired cognitive health. Nothing below is intended to diagnose but rather to help guide your understanding of the difference between normal (but aging) memory and dementia.

  1. Do reminders work? We all forget names, dates and items on our ‘to do’ list. However, can you be reminded successfully? If being prompted with facts reconnects you to them, your forgetfulness is probably part of normal aging. If reminders do not work and you are still unable to recall with a reminder, this can be a sign of dementia.
  2. Can Memories be recalled? Are you able to recall events or information, including with reminders, to stir your memory? Recall takes longer as we age but a normal brain should be able to remember eventually. If so, this is likely normal aging. If all the reminders in the world will not help you recall, then this can be a sign of dementia.
  3. Do memory tools work? Few people can remember all the phone numbers they need. This is why we have telephone books and contact lists. If you can successfully use a memory tool like a phone  (or calendar, internet search, etc), then your forgetfulness is presumably aging. If memory tools can no longer be used successfully, this can be a sign of dementia.
  4. Is there a repetition of forgetfulness? You have been reminded of someone’s name and with normal  memory, you have better recall next time you need this information. However, if the same reminder must be repeated again and again, this can be a sign of dementia.
  5. Is there a stable personality? It certainly is frustrating to have to work to recall information. Despite that, with normal aging, your personality is generally stable and recognizable. If you’ve had a short fuse or always stayed calm, it is probable you will continue to do so. If there are personally changes–loud, hot anger in someone who has always been mild mannered, for example–coupled with any of the concerns above, this can be a sign of dementia.
  6. Are habits and tasks performed? Can you perform customary daily tasks and meet your basic needs in bathing, dressing, eating, paying bills and health care? If yes, (even though you might have trouble bending or reaching due to arthritis or other medical issues), then likely you are aging normally. If daily tasks and activities you used to do have now become impossible, this can be a sign of dementia.
  7. Reaction to stress or fatigue? It is common for you memory to struggle when you are highly stressed or fatigued. However, you generally do not forget your nearest and dearest and other familiar information. If stress and fatigue cause out of proportion dysfunction mentally, physically and/or emotionally, this could be a sign of dementia.

 

It can be easy to explain away unusual behavior, especially for someone who seems physically healthy. Instead, seek a diagnosis as early as possible.

Three things you should know about Dementia:

‘Dementia’ and ‘Alzheimer’s’ are not interchangeable  terms. Dementia is an umbrella term for a condition involving cognitive impairment. There are many types of dementia, each with its own pattern of disability and ability and course of development. Alzheimer’s is the most frequently diagnosed type of dementia but all Dementia is not Alzheimer’s.

Dementia is not normal aging. Dementia is not an inevitable outcome of aging, though risks for dementia do rise with age. Dementia is a result of impaired brain function.

Dementia causes loss of abilities in many spheres, not just memory. Each type of dementia (and each person who has dementia) varies but as a generality, losses include motor abilities, language use, self-care, orientation, decision-making, problem-solving, immune function, continence, emotional control and more.

Act Now Foundation

830 Bergen Avenue, Suite 8A

Jersey City, NJ  07306

(201) 721-6721

Disclaimer: this information came form the Act Now Foundation: Alzheimer’s pamphlet. I have never used the Foundation so I have no opinion of it either yes or no. Please call the Foundation at the above number for more information.

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Gum Disease: Colgate, your partner in oral health

Posted on December 6, 2017 by jwatrel

Gum Disease: Colgate, your partner in oral health

What is Gum Disease?

Gum disease is the swelling or soreness of the gums (soft tissue) around your teeth. It caused by bacteria in plaque, a sticky, colorless film that forms on your teeth.

The plaque bacteria produce toxins that can lead to inflammation of the gums called gingivitis. This initial stage of gum disease is reversible. However, if you do not remove plaque by brushing and flossing your teeth, it can build up and infect your gums, teeth and the bone that supports them, leading to a more severe form of gum  disease, periodontitis. If left untreated, periodontitis can result in the loss of bone and teeth.

The signs of gum disease are not always easy to see and can be painless. The earlier gum disease is caught, the easier it is to treat. That’s why it’s important to see your dentist regularly.

The four stages of gum disease:

Stage 1: Gingivitis

*Bacteria from plaque produce by products which irate the gums resulting in inflammation.

*Gums are swollen, inflamed and red.

*Some Bleeding

Stage 2: Early Periodontitis

*Inflammation progresses into the supporting structures of the teeth.

*There is some bone loss which results in a pocket.

*Gums continue to bleed.

Stage 3: Moderate Periodontitis

*Continued inflammation and destruction of the supporting structure of the teeth.

*More noticeable bone loss and some tooth movement.

Stage 4: Advanced Periodontitis

*Bone loss and tooth mobility increases.

*Eventual loss of one or more teeth.

What should I do to Help Prevent Gum Disease?

*Brush with a soft-bristled toothbrush and clean between teeth with floss or an interdental cleaner the way your dentist tells you to do.

*The ADA recommends that you brush your teeth twice a day with an ADA accepted toothpaste. Cologate  Total is the only FDA approved and ADA accepted toothpaste to fight gingivitis.

Unlike ordinary fluoride toothpastes, Cologate Total is uniquely formulated with triclosan to kill plaque bacteria for 12 hours.

*Get regular professional dental cleanings at twice a year. This is the only way to remove plaque that has hardened into tartar. You may not be aware that this has happened. Your dental professional will need to evaluate and clean or ‘scale’ your teeth to remove the tartar above and below the gumline.

*Do not smoke cigarettes or use other forms of tobacco.

*If your condition is very serious, additional treatment may be necessary. Your dental professional will tell you whether you will need treatment in addition to a routine cleaning.

For more information on gum disease, ask your oral heath care professional. In addition, you may visit the Oral Care Section at http://www.colgate.com. (Colgate Total is approved through the New Drug Approval process to help prevent gingivitis. Not approved for the  prevention or treatment of periodontitis or other diseases.

Do you know the Facts About Gum Disease?

*On average 50% of American adults between the ages of 30 and 90 suffer from bleeding gums.

*People with diabetes are 2x more likely to develop serious gum disease.

*Gum Disease is the primary cause of tooth loss in adults 35 and over.

*Smoking, crooked teeth, defective fillings, pregnancies and use of oral contraceptive are some factors that increase the risk of gum disease.

*A diet rich in polyunsaturated fatty acids, found in foods like fish and nuts, can help lower the risks of gum disease.

Colgate Total:

Reduces 90% of plaque germs that cause gum problems. Ordinary toothpastes don’t.

*Dramatization illustrating reduction of plaque bacteria 12 hours after brushing with Colgate Total vs ordinary, non-antibacterial toothpaste. 12 hours after brushing vs ordinary, non-antibacterial toothpaste.

*The American Dental Association Council on Scientific Affair’s Acceptances of Colgate Total Gum Defense toothpaste is based on its findings that the produce is effective in helping to prevent and reduce tooth decay, gingivitis and plaque above the gumline and bad breath and to whiten teeth by removing surface stains, when used as directed.

*Disclaimer: this information was taken directly from the Colgate Total pamphlet. I have never used the product so I can tell you how well it works either yes or no. You will have to try the product and determine this for yourself.

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Alzheimer’s Disease Diagnosis & Treatments

Posted on November 29, 2017 by jwatrel

Alzheimer’s Disease Diagnosis & Treatments

Diagnosis:

*clinicians can now diagnose Alzheimer’s disease with up to 90% accuracy but it can only be confirmed by an autopsy, during which pathologists look for the disease’s characteristic plaques and tangles in brain tissue.

*Clinicians can diagnose ‘probable’ Alzheimer’s disease by taking a complete medical history and conducting lab tests, a physical exam, brain scans and neuro-psychological tests that gauge memory, attention, language skills and problem-solving abilities.

*Proper diagnosis is critical since there are dozens of other causes of memory problems. Some memory problems can be readily treated, such as those caused by vitamin deficiencies or thyroid problems. Other memory problems might result from causes that are not currently reversible such as Alzheimer’s disease.

Treatment:

*Currently there is no cure for Alzheimer’s disease.

*Researchers are continually testing the effectiveness of carious drug therapies that will control symptoms; slow, reduce and/or reverse mental and behavioral symptoms and prevent or halt the disease. The historic ‘National Plan to Address Alzheimer’s Disease’ released by the US Department of Health and Human Services in May 2012 and updated annually, calls for preventing and effectively treating Alzheimer’s by 2025.

*The US Food and Drug Administration (FDA) has approved several medications for the treatment of Alzheimer’s disease.

Currently Available Are:

*Donepezil Hydrochloride (ARICEPT): ARICEPT 5mg-10mg are indicated for mild to moderate Alzheimer’s disease and ARICEPT 10mg-23mg are indicated for moderate to severe Alzheimer’s disease:

*Rivastigmine (EXELON) approved in a pill and patch form for mild to moderate Alzheimer’s disease and in a higher dosage EXELON patch for severe Alzheimer’s disease;

*Galantamine hydrobromide (RAZADYNE) approved for mild to moderate Alzheimer’s disease.

*Memantine hydrochloride (twice a day oral NAMENDA and once daily NAMENDA XR capsules) for the treatment of moderate to severe Alzheimer’s disease (The sale of NAMENDA twice daily tablets is being discontinued effective August 15, 2014)

*Some of these medications can be used alone or in combination and may help slow progression of symptoms and improve quality of life.

*These medications come in various dosages; dispensing requirements (i.e. once or twice a day); formulations (i.e. extended release) and forms, including tablet capsule, liquid and patch.

*Before taking medications, it is advisable to speak with a healthcare provider regarding past and present medical conditions; allergies and possible side effects.

*Currently, research supports behavioral management interventions for individuals with dementia as well as education, counseling and other support services for caregivers.

*The National Institute on Aging, in concert with the FDA, tracks private and government-sponsored clinical trials; contact the Alzheimer’s Disease Education and Referral Center.

Act Now Foundation

830 Bergen Avenue, Suite 8A

Jersey City, NJ  07306

(201) 721-6721

Disclaimer: this information was taken directly from the Act Now Foundation handout. Please call the Foundation for more information on their programs.

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How to Manage Stress: 10 ways to a healthier caregiver

Posted on November 29, 2017 by jwatrel

How to manage stress: 10 ways to a healthier caregiver: are you overwhelmed by taking care of someone else that you have neglected your own physical, mental and emotional well-being. If you find yourself without the time to take care of your own needs, you may be putting yourself and your health at risk.

  1. Understand what’s happening as early as possible: Symptoms of Alzheimer’s may appear gradually. It can be easy to explain away changing or unusual behavior when someone seems physically healthy. Instead consult a doctor when you see changes in memory, mood or behavior. Don’t delay; some symptoms are treatable.
  2. Know what community resources are available: Contact the Act Now Foundation or use an online Community Resource Finder at http://www.communityresourcefinder.org to find Alzheimer’s care resources in your community. Adult daycare programs, in house assistance, visiting nurses and meal delivery are just some of the services that can help you manage daily tasks.
  3. Become an educated caregiver: As the disease progresses, new caregiving skills may be necessary. Act Now Foundation offers programs to help you better understand and cope with the behaviors and personality changes that often accompany Alzheimer’s. Visit http://www.actnowfoundation.org to learn more.
  4. Get Help: Trying to do everything by yourself will leave you exhausted. Seek the support of family, friends and community resources. Local support groups are good sources for finding comfort and reassurance. If stress becomes overwhelming seek professional help.
  5. Take Care of yourself: Watch your diet, exercise and get plenty of rest. Making sure that you stay healthy will help you be a better caregiver.
  6. Manage your level of stress: Stress can cause physical problems (blurred vision, stomach irritation, high blood pressure) and changes in behavior (irritability, lack of concentration, change in appetite). Note your symptoms. Use relaxation techniques that work for you and talk to your doctor.
  7. Accept changes as they occur: People with Alzheimer’s change and so do their needs. They may require care beyond what you can provide on your own. Become aware of community resources. They can make the transition easier. So will the support and assistance of those around you.
  8. Make a legal and financial plan: Plan ahead. Consult a professional to discuss legal and financial issues including advance directives, wills, estate planning, housing issues and long term care planning. Involve the person with Alzheimer’s and family members whenever possible.
  9. Give yourself credit not guilt: Know that the care you provide does make a difference and you are doing the best you can. You may feel guilty because you can’t do more but individual care needs to change as Alzheimer’s progresses. You can’t promise how care will be delivered but you can make sure that the person with Alzheimer’s is well cared for and safe.
  10. Visit your doctor regularly: Take time to get regular checkups and be aware of what your body is telling you. Pay attention to any exhaustion, stress, sleeplessness or changes in appetite or behavior. Ignoring symptoms can cause your physical and mental health to decline.

 

Act Now Foundation

830 Bergen Avenue, Suite 8A

Jersey City, NJ  07306

(201) 721-6721

*Disclaimer: this information was taken directly from a pamphlet from the Act Now Foundation. I have never used the service so please call the foundation for more information.

 

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The Three Stages of Alzheimer’s Disease

Posted on November 29, 2017 by jwatrel

The Three Stages of Alzheimer’s Disease:

Alzheimer’s Disease typically progresses slowly in three general stages-mild (early-stage), moderate (middle-stage) and severe (late-stage). Since Alzheimer’s affects people in different ways, each person will experience symptoms or progress through Alzheimer’s stages-differently.

The symptoms of Alzheimer’s disease worsen over time, although the rate at which the disease progresses varies. on average, a person with Alzheimer’s lives four to eight years after diagnosis but can live as long as 20 years, depending on other factors.

Changes in the brain related to Alzheimer’s begin years before any signs of the disease. This time period, which can last for years, is referred to as preclinical Alzheimer’s disease.

The stages below provide an overall idea of how abilities change once symptoms appear and should only be used as a general guide. They are separated into three  different categories; mild Alzheimer’s disease, moderate Alzheimer’s disease and severe Alzheimer’s disease. Be aware that it may be  difficult to place a person with Alzheimer’s in a specific stage as stages may overlap.

Mild Alzheimer’s Disease (early-stage):

In the early stages of Alzheimer’s , a person may function independently. He or she may still drive, work and be part of social activities. Despite this, the person may feel as if he or she is having memory lapses, such as forgetting familiar words or the location of everyday objects.

Friends, family or neighbors begin to notice difficulties. During a detailed medical interview, doctors may be able to detect problems in memory or concentration. Common difficulties include:

*Problems coming up with the right word or name.

*Trouble remembering names when introduced to new people.

*Having greater difficulty performing tasks in social or work settings.

*Forgetting material that one has just read.

*Losing or misplacing a valuable object.

Moderate Alzheimer’s disease (middle-stage):

Moderate Alzheimer’s is typically the longest stage and can last for many years. As the disease progresses, the person with Alzheimer’s will require a greater level of care. You may notice the person with Alzheimer’s confusing words, getting frustrated or angry or acting in unexpected way, such as refusing to bathe. Damage to nerve cells in the brain can make it difficult to express thoughts and perform routine tasks.

At this point, symptoms will be noticeable to others and may include:

*Forgetfulness of events to about one’s own personal history.

*Feeling moody or withdrawn, especially in socially or mentally challenging situation.

*Being unable to recall their own address or telephone number or the high school or college from which they graduated.

*Confusion about where they are or what day it is. The need for help choosing proper clothing for the season or the occasion.

*Trouble controlling bladder and bowels in some individuals.

*Changes in sleep patterns, such as sleeping during the day and becoming restless at night.

*An increase risk of wandering and becoming lost.

*Personally and behavioral changes, including suspiciousness and delusions or compulsive, repetitive behavior like hand-wringing or tissue shredding.

Severe Alzheimer’s disease (late-stage):

In the final stage of this disease, individuals lose the ability to respond to their environment to carry on a conversation and eventually to control movement. They may still say words or phrases but communicating pain becomes difficult. As memory and cognitive skills continue to worsen, personality changes may take place and individuals need extensive help with daily activities.

At this stage, individuals may:

*Require full-time around the clock assistance with daily personal care.

*Lose awareness of recent experiences as well as of their surroundings.

*Require high levels of assistance with daily activities and personal care.

*Experience changes in physical abilities, including the ability to walk, sit and eventually swallow.

*Have increasing difficulty communicating.

*Become vulnerable to infections, especially pneumonia.

Act Now Foundation Alzheimer’s Awareness

830 Bergen Avenue, Suite 8A

Jersey City, New Jersey 07306

(201) 721-6721

Disclaimer: this information was taken directly from the Act Now Foundation handout. I have not used the service so I have no opinion of the service either yes or no. Please call the foundation for more information.

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10 Warning signs of Alzheimer’s Disease

Posted on November 29, 2017 by jwatrel

10 Warning signs of Alzheimer’s Disease

It may be hard to know the difference between a typical age-related change and the first sign of Alzheimer’s disease. Ask yourself: is this something new? For example, if the person was never good at balancing a checkbook, struggling with this task is probably not a warning sign. But it his or her ability to balance a checkbook has changes significantly, it is something to share with a doctor.

Some people recognize changes in themselves before anyone else does. Other times, friends and family are the first to notice changes in the person’s memory, behavior or abilities. To help identify problems early, we have created a list of warning signs for Alzheimer’s. Individuals may experience one or more of these signs in different degrees.

  1. Memory loss that disrupts daily life: one of the most common signs of Alzheimer’s disease, especially in the early stages is forgetting recently learned information. Others include forgetting important date or events; asking for the same information over and over and increasingly needing to rely on memory aides (e.g. reminder notes or electronic devices) or family members for things used to handle on their own. What’s a typical age-related change? Sometimes forgetting names of appointments but remembering them later.
  2. Challenges in planning or solving problems:  Some people may experiences changes in their ability to develop and follow a plan or work with numbers. They may have trouble following a familiar recipe or keeping track of monthly bills. They may have difficulty concentrating and take much longer to do things than they did before. What’s a typical age-related charge? Making occasional errors when balancing a checkbook?
  3. Difficulty completing familiar tasks at home, at work or at leisure: People with Alzheimer’s disease often find it hard to complete daily tasks. Sometimes, people have trouble driving to a familiar location, managing a budget at work or remembering the rules of a favorite game. What’s a typical age-related change? Occasionally needing help to use the settings on a microwave or to record a TV show.
  4. Confusion with time or space: People with Alzheimer’s can lose track of date seasons and the passage of time. They may have trouble understanding something if it not happening immediately. Sometimes they may forget where they are or how they got there. What’s a typical age-related change? Getting confused about the day of the week but figuring it out later.
  5. Trouble understanding visual images and spatial relationships: For some people having vision problems is a sign of Alzheimer’s. They may have difficulty reading, judging distance and determining color or contrast, which may cause problems with driving. What’s a typical age-related change? Vision changes related to cataracts.
  6. New Problems with words in speaking or writing: People with words in speaking or writing: People with Alzheimer’s may have trouble following or joining a conversation. They may stop in the middle of a conversation and have no idea how to continue or they may repeat themselves. They may struggle with vocabulary, have problems finding the right word or call things by the wrong name (e.g. calling a watch a ‘hand clock’). What’s a typical age-related change? Sometimes having trouble finding the right word.
  7. Misplacing things and losing the ability to retrace steps: A person with Alzheimer’s disease may put things in unusual places. They may lose things and be unable to go back over their steps to find them again. Sometimes they may accuse others of stealing. This may occur more frequently over time. What’s a typical age-related change? Misplacing things from time to time and retracing steps to find them.
  8. Decreased or poor judgment: People with Alzheimer’s may experience changes in judgment or decision making. For example, they may use poor judgment when dealing with money, giving large amounts to telemarketers. They may pay less attention to grooming or keeping themselves clean. What’s a typical age-related change? Making a bad decision once in a while.
  9. Withdrawal from work or social activities: A person with Alzheimer’s may start to remove themselves from hobbies, social activities, work projects or sports. They may have trouble keeping up with a favorite sports team or remembering how to complete a favorite sports team or remembering how to complete a favorite hobby. They may also avoid being social because of the changes they have experienced. What’s a typical age-related change? Sometimes feeling weary of work, family and social obligations.
  10. Changes in mood and personality: The mood and personality of people with Alzheimer’s can change. They can become confused, suspicious, depressed, fearful or anxious. They may be easily upset at home, at work with friends or in places where they are out of their comfort zone. What’s a typical age-related change? Developing very specific ways of doing things and becoming irritable when a routine is disrupted.

 

Mood changes with any age may also be a sign of some other condition. Consult a doctor if you observe any changes. If you notice any of these warning signs, please see a doctor. Doctor’s ability to diagnose Alzheimer’s disease and related dementias is improving dramatically

Act Now Foundation

830 Bergen Avenue, Suite A

Jersey City, NJ  07306

(201) 721-6721

*Disclaimer: This information was taken directly from the Act Now Foundation handout. I have not used the service so I have no opinion of the service either yes or no to how it works.  Please call the above numbers for more information.

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Basics of Alzheimer’s Disease: What it is and What you can do

Posted on November 26, 2017 by jwatrel

Basics of Alzheimer’s Disease: What it is and What you can do

Act Now Foundation: Alzheimer’s Awareness

What is Alzheimer’s Disease?

Alzheimer’s is a disease of the brain that causes problems with memory, thinking and behavior. It is not a normal part of aging. Alzheimer’s gets worse over time. Although symptoms can vary widely, the first problem many people notice is forgetfulness severe enough to affect their ability to function at home or at work or to enjoy a lifelong hobby.

The disease may cause a person to become confused lost in familiar places, misplace things or have trouble with language.

When memory loss is a warning sign.

Many people worry about becoming more forgetful as they grow older. Our brains change as we age, just like the rest of our bodies. Most of us eventually notice some slowed thinking and problems remembering certain things. However, serious memory loss, confusion and other major changes in the way our minds work are not a typical part of aging. Many conditions can disrupt memory  and mental function. Symptoms may improve when the underlying cause is treated.

Anyone experiencing significant memory problems should see a doctor as soon as possible. Methods for early  diagnosis are improving dramatically and treatment options and sources of support can improve quality of life.

An early diagnosis helps individuals receive treatment for symptoms and gain access to programs and support services. It may also allow them to take part in decisions about care, living arrangements, money and legal matters.

It can be easy to explain away unusual behavior, especially for someone who seems physically healthy. Instead, seek a diagnosis as early as possible.

Possible causes of memory problems include:

*Depression

*Poor Diet

*Thyroid issues

*Infections dementias

*Medication side effects

*Excess alcohol use

*Vitamin Deficiencies

*Alzheimer’s disease

What’s the difference?

Signs of Alzheimer’s/Dementia

*Poor judges and decision making

*Inability to manage a budget

*Losing track of the date or the season

*Difficulty having a conversation

*Misplacing things and being unable to retrace steps to find them.

Typical age-related changes

*Making a bad decision once in a while

*Missing a monthly payment

*Forgetting which day it is and remembering later

*Losing things from time to time

Act Now Foundation

830 Bergen Avenue, Suite 8A

Jersey City, NJ  07306

201-721-6721

Disclaimer: this information was taken directly from the Act Now Foundation Alzheimer’s Awareness pamphlet. I have not used the service so I have no opinion on it either yes or no to how it works. Please call or email at the above numbers to get more information on the program.

Posted in Alzheimer's and Parkinson Disease Programs, Alzheimer's and Parkinson's Treatment, Bergen County NJ Programs, Health and Life Support Services, Men's Programming, New York City Senior Programming, Senior Caregiver Programs, Senior Services, Support Services for Seniors, Uncategorized, Woman's Programming | Tagged , , , , , , , , , , , , , , , , | 1 Comment